DEPARTMENT OF INSURANCE
Affiliations
NameLee, Michael DOIID629394NAIC NPN8546720
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities4/4/2006 12/31/2024
ActiveNon ResidentAgentHealth4/4/2006 12/31/2024
ActiveNon ResidentAgentLife4/4/2006 12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202412/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health10/6/200612/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20072/7/2012
InactiveAetna Life Insurance Company301140Agent - Health10/6/20067/9/2010
InactiveAetna Life Insurance Company301140Agent - Life10/6/20067/9/2010
InactiveAmerican General Life Insurance Company301585Agent - Health7/9/20211/14/2022
InactiveAmerican General Life Insurance Company301585Agent - Life7/9/20211/14/2022
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities7/9/20211/14/2022
ActiveAmeritas Life Insurance Corporation300126Agent - Life5/8/2022 
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/12/202112/14/2022
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/12/202112/14/2022
ActiveLincoln National Life Insurance Company (The)301382Agent - Health5/30/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life5/30/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/30/2022 
ActivePacific Life Insurance Company301848Agent - Life5/31/2023 
InactivePruco Life Insurance Company300954Agent - Health4/13/200610/2/2020
ActivePruco Life Insurance Company300954Agent - Life1/12/2021 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities1/12/2021 
ActivePrudential Insurance Company of America300784Agent - Health1/12/2021 
ActivePrudential Insurance Company of America300784Agent - Life1/12/2021 
ActivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities1/12/2021 
InactiveTransamerica Life Insurance Company300571Agent - Health3/29/20206/17/2024
InactiveTransamerica Life Insurance Company300571Agent - Life3/29/20206/17/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/26/200612/1/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/26/200612/1/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/26/200612/1/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/26/200612/1/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePrudential Insurance Agency LLC620187Agent - Life11/2/2021 
ActivePrudential Insurance Agency LLC620187Agent - Health11/2/2021 
ActivePrudential Insurance Agency LLC620187Agent - Variable Life and Variable Annuities11/2/2021 

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